Active NPI
Journey House Behavioral Health Rva
- Community/Behavioral Health Agency
- Henrico, VA
National Provider Identifier
1336914191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- JOURNEY HOUSE BEHAVIORAL HEALTH RVA
- Practice address
- 7740 Shrader Rd Ste F
Henrico, VA 23228-2500 - Phone
- (804) 201-8060
- NPI assigned
- Nov 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaeler Braine McCollough, BS, MA, CSAC-S
- Title
- Program Director
- Phone
- (804) 201-8060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
7740 Shrader Rd Ste F
Henrico, VA 23228-2500
Mailing address
12386 River View LN
Montpelier, VA 23192-3048
Phone (804) 201-8060
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700524800000",
"number": "1336914191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12386 RIVER VIEW LN",
"city": "MONTPELIER",
"state": "VA",
"postal_code": "231923048",
"telephone_number": "804-201-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7740 SHRADER RD STE F",
"city": "HENRICO",
"state": "VA",
"postal_code": "232282500",
"telephone_number": "804-201-8060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNEY HOUSE BEHAVIORAL HEALTH RVA",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-21",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A",
"authorized_official_last_name": "MCCOLLOUGH",
"authorized_official_first_name": "KAELER",
"authorized_official_middle_name": "BRAINE",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "804-201-8060",
"authorized_official_credential": "BS, MA, CSAC-S"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.